Doctor Name: | MRS. ALISON BAXTER GIUNTA |
NPI Number: | 1134323637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. PA-C |
License Number: | |
Business Practice Address: | 5201 Willow Springs Rd #440 La Grange Highlands, IL - 605256537 |
Business Phone Number: | 7083544667 |
Business Fax Number: | 7083546454 |
Mailing Address: | 5201 Willow Springs Rd, #440 LA GRANGE HIGHLANDS |
State: | IL |
Postal Code: | 605256537 |
Phone Number: | 7083544667 |
Fax Number: | 7083546454 |
NPI Enumeration Date: | 06/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |